Slow

A 3 day old boy presents with jaundice from the 2nd day of life.

He was born via cesarian section at 38 weeks of gestation, following an uncomplicated pregnancy.

His mother is 24 years old, and is in good health.

Select Relevant Investigations
FBC & Blood Film

Performed

Hb: 14.2 g/dl
PCV (Hct): 41.4%
Reticulocyte count: 3%

Blood film (picture) : The blood film appears normal, with no evidence of hemolysis.
Serum Bilirubin

Performed

Total bilirubin: 19.2 mg/dl
Direct (conjugated) bilirubin: 1.9 mg/dl
Liver transaminases

Performed

AST: 24 IU/L (0-40)
ALT: 33 IU/L (0-40)
Thyroid Function tests

Performed

TSH: 49.90 mIU/ml (0.9-7.7)
Free T4: 9.65 pg/ml (9-26)

Select Relevant Management
Phototherapy stat
Levothyroxine stat
Radioiodine therapy
IV Immunoglobulin